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abbi E.B. Freedman re-
cently asked a group of
15 grade-school stu-
dents if they thought
Judaism, Jewish history, the
Bible and God have anything
to do with assisted suicide.
To Rabbi Freedman's cha-
grin, 13 students answered:
"No."
"It's a problem," the rabbi
said. "Assisted suicide is re-
ally a Jewish issue."
And a legal issue. And a
medical issue. All three per-
spectives on the issue surfaced
at "Life's Final Choice," a pan-
el discussion sponsored by the
Resettlement and Jewish
Family Service.
The panel discussion, held
Nov. 2 at the Jewish Federa-
tion building, was part of the
25th Volunteer Institute, a
yearly seminar to honor peo-
ple who have volunteered for
the agencies.
"We tried to choose a topic
of our time so that it would be
interesting to all volunteers,
no matter what program
they're involved with," said
Elina Zilberberg, program
manager of the Volunteer Ser-
vices Department.
Boaz Siegel, professor emer-
itus at Wayne State Universi-
ty Law School, served on the
panel with Rabbi Freedman
and Diane Czlonka, a clinical
nurse specialist and medical
ethicist with Sinai Hospital.
Dr. Siegel discussed the le-
gal status of euthanasia and
assisted suicide. The former
amounts to "pulling the plug"
on patients who are in perma-
nent vegetative states or sim-
ilar, non-recovery conditions.
Since the U.S. Supreme
Court has already acknowl-
edged that, in some cases, a
discontinuation of treatment
is the best choice, euthanasia
is not the salient issue, Pro-
fessor Siegel said.
"I think the real issue is
now, and will be for some time,
assisted suicide. Michigan, of
course, is center stage for the
whole country because of the
activities of Dr. Jack
Kevorkian," he said.
Michigan's statute pro-
hibiting "medicide," has not
been tested, so it is too early to
determine if it will stand up in
court, he added. The statute,
which was designed last win-
ter to prevent Dr. Kevorkian
from practicing medicide,
might not hold up due to tech-
nical difficulties.
The Michigan constitution
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stipulates that statutes may
address only one point. The
state's anti-medicide statute
not only criminalizes the act
of assisted suicide but also
calls for a committee to study
it. This could be interpreted as
two points — which might
cause a court to strike it down.
Professor Siegel also hopes
the issue will be determined
via reason, not emotion. He
hopes states will leave it as an
option for people to choose.
"I think we are in a situa-
tion where the ultimate out-
come will open up possibilities
to people, not close them off,"
he said. "Those of us who are
going to have to face this prob-
lem are going to want a ratio-
nal, practical solution."
Ms. Czlonka spoke from a
medical perspective. She fo-
cused on the question of dis-
continuing a patient's
treatment. It is never clear-
cut, she said:
"(Since the 1960s), we've
talked about death as a
process. We've talked about
the process of prolonging life.
We wonder if we're prolonging
life or death.
"We wonder if
we're prolonging
life or death."
Diane Czlonka
"It becomes more compli-
cated when we look at indi-
vidual situations," she said.
Value-loaded, quality-of-life
questions come into play when
doctors and families try to de-
termine whether to continue a
patient's artificial life support
systems. Ms. Czlonka recalled
the case of an elderly female
cancer patient whose doctors
believed they could prolong her
life with heroic surgery.
The family members, acting
as the patient's advocates,
protested. The patient, were
she conscious, would never
consent to the surgery, they
said. It would leave her frail,
dependent and miserable. She
would rather be dead, they
said. Finally, they convinced
the doctors.
Ms. Czlonka stressed the
importance of advanced direc-
tives, which include living
wills, documents specifying
conditions under which pa-
tients would want doctors to